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"Integrated answers to health needs. Citizens and new healthcare"


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Reforming means defining new rules in order to achieve better results compared to the past and the present. The 1992/93 NHS Reform introduced a new management model commonly defined "business like", aiming at improving the quality levels of services and the effectiveness in their production and supply, this latter condition being necessary in order to comply with the increasing expenditure macroeconomic compatibility restrictions.

Patients' freedom of choice, decentralisation to the Regions, autonomy of (public and private) health companies, competition among them, accountability of (national and regional) "planners" as regards compliance with the macroeconomic compatibility of health expenditure levels and of General Directors as regards compliance with cost efficiency requirements for enterprises; are some of the main principles set out by Legislative Decrees 502/92 and 917/93. Such principles have been restated, and partially supplemented or amended, by Decree 229/99.

 

But has the concrete application of such principles allowed to maintain an integrated answer to health needs and to guarantee the citizen-patient's rights?

Providing an answer to this latter question is maybe impossible. It is on the contrary possible to analyse the dynamics of the NHS in the last 5 years, in order to derive some interpretation guidelines about the Reform's effects. This is the goal of the Lecture "Integrated answers to health needs. Citizens and new healthcare", where the outcomes of a research promoted by Farmafactoring and carried out by CeRGAS will be illustrated.